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CEA FNP Exam: NR 667/ NR667 FNP Capstone
Practicum and Intensive | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain Which condition is a patient undergoing concurrent chemotherapy/radiation for glottic squamous cell carcinoma at risk for, given admission CBC showing WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8, and symptoms of intractable nausea, vomiting, and dehydration?
Answer: A patient currently undergoing concurrent
chemotherapy/radiation treatment for glottic squamous cell carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting, and dehydration.Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8.Which of the following conditions is this patient at risk for? A.Macrocytic anemia due to B12 deficiency B. Iron deficiency anemia due to chronic blood loss C. Microcytic anemia due to chronic kidney disease D. Aplastic anemia due to bone marrow suppression D
What is the most likely diagnosis for a patient presenting to urgent care with a swollen exudative pharynx, profound fatigue, and a very tender left upper quadrant abdomen?
Answer: Your patient presents to the urgent care clinic with a
swollen exudative pharynx, profound fatigue, and a very tender left upper quadrant abdomen. What is the most likely diagnosis?
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- Strep pharyngitis B. Tonsillitis C. Epstein Barr virus (EBV)
- Pancreatitis C
Which option best characterizes presbycusis in the older adult?
Answer: Which of the following best characterizes presbycusis
in the older adult? A. Bilateral low-frequency sensorineural hearing loss B. Bilateral high-frequency sensorineural hearing loss C. Unilateral high-frequency sensorineural hearing loss D.Unilateral low-frequency sensorineural hearing loss B
What is the most appropriate next step in management for a 35- year-old woman with allergic rhinitis experiencing significant nasal congestion, sneezing, and itchy eyes, who has had limited relief from over-the-counter antihistamines?
Answer: A 35-year-old woman presents with allergic rhinitis,
experiencing significant nasal congestion, sneezing, and itchy eyes. She has tried over-the-counter antihistamines with limited relief. What is the most appropriate next step in management?
- Oral decongestants B. Nasal saline irrigation C. Intranasal
corticosteroids D. Referral to an allergist for immunotherapy C
Which condition is a patient undergoing concurrent chemotherapy/radiation for glottic squamous cell carcinoma at risk for (repeated question), given admission CBC showing WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8, and symptoms of intractable nausea, vomiting, and dehydration?
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Answer: A patient currently undergoing concurrent
chemotherapy/radiation treatment for glottic squamous cell carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting, and dehydration.Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8.Which of the following conditions is this patient at risk for? A.Iron deficiency anemia due to chronic blood loss B. Microcytic anemia due to chronic kidney disease C. Macrocytic anemia due to B12 deficiency D. Aplastic anemia due to bone marrow suppression D
What additional work-up would you anticipate for a 78-year-old male patient with chronic infections, bruising, fatigue, shortness of breath, and fevers, a history of rectal adenocarcinoma treated with concurrent chemotherapy/radiation earlier this year, and CBC showing Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, with peripheral smear showing dysplasia?
Answer: A 78 y.o. M patient reports chronic infections,
bruising, fatigue, SOB, and fevers. He has a history of rectal adenocarcinoma and completed concurrent chemotherapy/radiation earlier this year. His CBC shows Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear shows dysplasia. What additional work-up would you anticipate for this patient? A. Colonoscopy and fecal occult blood test B. Bone marrow biopsy and flow cytometry C. No additional work-up is required, these are expected sequela of his oncologic treatment
- Repeat CBC/CMP/peripheral smear in eight weeks B
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Which condition, if untreated or poorly responsive, poses a risk of progression to Acute Myelogenous Leukemia (AML)?
Answer: Progression to Acute Myelogenous Leukemia (AML)
is a risk for untreated or poorly responsive: A. Pancytopenia B.
Aplastic anemia C. Macrocytic anemia D. Myelodysplastic syndrome D
Which treatment is not included for symptomatic aplastic anemia?
Answer: Treatment for symptomatic aplastic anemia includes all
the following except: A. Bone marrow transplant B.
PRBC/Platelet/WBC transfusions C. Prophylactic antibiotics D.Removal of bone marrow stimulants D
Which iron supplementation treatment would likely be ineffective for a patient diagnosed with iron deficiency anemia?
Answer: A patient diagnosed with iron deficiency anemia
requires iron supplementation. Which of the following treatments would likely be ineffective? A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks of pregnancy C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis A